Outpatient Coding Specialist - ICD-10/CPT Expert

Jobtailor; Providence (RI); On-site; USD 60,000 - 85,000; Full time

Job summary

Jobtailor is seeking an outpatient coder to review medical records, extract data, and assign ICD-10-CM, CPT, E/M, and HCPCS codes. The role emphasizes accurate documentation and adherence to medical necessity requirements.

You will collaborate with physicians to resolve documentation gaps and ensure timely, accurate billing using 3M 360 Finder. Ideal candidates have 1–2 years of outpatient coding/billing experience, AHIMA or AAPC certification, and the ability to maintain a high accuracy rate

Qualifications

• High school diploma or equivalent.
• Completion of a formal coding educational program.
• Certification in coding from AHIMA or AAPC is required.
• 1–2 years of outpatient coding or billing experience.
• Ability to read and understand outpatient clinic, ancillary, and endoscopy documentation.
• Must meet quality and productivity standards; accuracy target 95%.
• Knowledge of outpatient ICD-10-CM, HCPCS, and E/M guidelines.

Responsibilities

• Review outpatient clinical documentation and medical records to assign ICD-10-CM, CPT, E/M, APC, chargemaster, injection, and infusion codes.
• Extract data and ensure documentation supports assigned codes.
• Use 3M 360 Finder to assign codes and resolve coding and claims edits.
• Apply NCCI, CCI, NCD, OCE, and medical necessity requirements.
• Consult with physicians for clarification and report documentation insufficiencies.
• Monitor outpatient uncoded reports and ensure timely coding and billing.
• Resolve rejected accounts and eClinicalWorks error reports.
• Research and resolve coding, chargemaster, and billing issues.
• Refer complex coding issues to the coding validator or supervisor.
• Maintain patient financial accounts and rebill as required.
• Uphold coding knowledge, quality, productivity, and accuracy standards.
• Perform related clerical duties.

Skills

Data Extraction

Medical Record Review

Coding Knowledge

Documentation Support

Quality Standards Maintenance

Billing Issue Resolution

Patient Financial Accounts Update

HCPCS Knowledge

Evaluation and Management Guidelines

Education

High school diploma or equivalent

Formal coding educational program

Tools

3M 360 Finder

EClinicalWorks

Job description

Jobtailor is seeking an outpatient coder to review medical records, extract data, and assign ICD-10-CM, CPT, E/M, and HCPCS codes. The role emphasizes accurate documentation and adherence to medical necessity requirements.

You will collaborate with physicians to resolve documentation gaps and ensure timely, accurate billing using 3M 360 Finder. Ideal candidates have 1–2 years of outpatient coding/billing experience, AHIMA or AAPC certification, and the ability to maintain a high accuracy rate